Individual
BRYAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5535 S WILLIAMSON BLVD STE 774, PORT ORANGE, FL 32128-8321
(888) 265-2680
Mailing address
3065 GOODWIN SCHOOLHOUSE RD, BETHEL, OH 45106-8452
(513) 602-8484
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
28343
CA
235Z00000X
Speech-Language Pathologist
Primary
7101006816
MI
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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